International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

Guohua Zeng; Olivier Traxer; Wen Zhong; Palle Osther; Margaret S. Pearle; Glenn M. Preminger; Giorgio Mazzon; Christian Seitz; Petrisor Geavlete; Cristian Fiori; Khurshid R. Ghani; Ben H. Chew; Kah Ann Git; Fabio Carvalho Vicentini; Athanasios Papatsoris; Marianne Brehmer; Juan Lopez Martinez; Jiwen Cheng; Fan Cheng; Xiaofeng Gao; Nariman Gadzhiev; Amelia Pietropaolo; Silvia Proietti; Zhangqun Ye; Kemal Sarica

doi:10.1111/bju.15836

International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

Guohua Zeng, Olivier Traxer, Wen Zhong, Palle Osther, Margaret S. Pearle, Glenn M. Preminger, Giorgio Mazzon, Christian Seitz, Petrisor Geavlete, Cristian Fiori, Khurshid R. Ghani, Ben H. Chew, Kah Ann Git, Fabio Carvalho Vicentini, Athanasios Papatsoris, Marianne Brehmer, Juan Lopez Martinez, Jiwen Cheng, Fan Cheng, Xiaofeng GaoNariman Gadzhiev, Amelia Pietropaolo, Silvia Proietti, Zhangqun Ye, Kemal Sarica

Research output: Contribution to journal › Review article › peer-review

29 Scopus citations

Abstract

Objectives: To set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS. Materials and Methods: After a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided. Results: A total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications. Conclusion: The series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.

Original language	English (US)
Pages (from-to)	153-164
Number of pages	12
Journal	BJU international
Volume	131
Issue number	2
DOIs	https://doi.org/10.1111/bju.15836
State	Published - Feb 2023

Keywords

#EndoUrology
#KidneyStones
#UroStone
RIRS
flexible ureteroscopy
guideline
retrograde intrarenal surgery
treatment
urolithiasis

ASJC Scopus subject areas

Urology

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10.1111/bju.15836

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Zeng, G., Traxer, O., Zhong, W., Osther, P., Pearle, M. S., Preminger, G. M., Mazzon, G., Seitz, C., Geavlete, P., Fiori, C., Ghani, K. R., Chew, B. H., Git, K. A., Vicentini, F. C., Papatsoris, A., Brehmer, M., Martinez, J. L., Cheng, J., Cheng, F., ... Sarica, K. (2023). International Alliance of Urolithiasis guideline on retrograde intrarenal surgery. BJU international, 131(2), 153-164. https://doi.org/10.1111/bju.15836

Zeng, G, Traxer, O, Zhong, W, Osther, P, Pearle, MS, Preminger, GM, Mazzon, G, Seitz, C, Geavlete, P, Fiori, C, Ghani, KR, Chew, BH, Git, KA, Vicentini, FC, Papatsoris, A, Brehmer, M, Martinez, JL, Cheng, J, Cheng, F, Gao, X, Gadzhiev, N, Pietropaolo, A, Proietti, S, Ye, Z & Sarica, K 2023, 'International Alliance of Urolithiasis guideline on retrograde intrarenal surgery', BJU international, vol. 131, no. 2, pp. 153-164. https://doi.org/10.1111/bju.15836

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title = "International Alliance of Urolithiasis guideline on retrograde intrarenal surgery",

abstract = "Objectives: To set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS. Materials and Methods: After a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided. Results: A total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications. Conclusion: The series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.",

keywords = "#EndoUrology, #KidneyStones, #UroStone, RIRS, flexible ureteroscopy, guideline, retrograde intrarenal surgery, treatment, urolithiasis",

author = "Guohua Zeng and Olivier Traxer and Wen Zhong and Palle Osther and Pearle, {Margaret S.} and Preminger, {Glenn M.} and Giorgio Mazzon and Christian Seitz and Petrisor Geavlete and Cristian Fiori and Ghani, {Khurshid R.} and Chew, {Ben H.} and Git, {Kah Ann} and Vicentini, {Fabio Carvalho} and Athanasios Papatsoris and Marianne Brehmer and Martinez, {Juan Lopez} and Jiwen Cheng and Fan Cheng and Xiaofeng Gao and Nariman Gadzhiev and Amelia Pietropaolo and Silvia Proietti and Zhangqun Ye and Kemal Sarica",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors. BJU International published by John Wiley & Sons Ltd on behalf of BJU International.",

year = "2023",

month = feb,

doi = "10.1111/bju.15836",

language = "English (US)",

volume = "131",

pages = "153--164",

journal = "BJU international",

issn = "1464-4096",

publisher = "Wiley-Blackwell",

number = "2",

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TY - JOUR

T1 - International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

AU - Zeng, Guohua

AU - Traxer, Olivier

AU - Zhong, Wen

AU - Osther, Palle

AU - Pearle, Margaret S.

AU - Preminger, Glenn M.

AU - Mazzon, Giorgio

AU - Seitz, Christian

AU - Geavlete, Petrisor

AU - Fiori, Cristian

AU - Ghani, Khurshid R.

AU - Chew, Ben H.

AU - Git, Kah Ann

AU - Vicentini, Fabio Carvalho

AU - Papatsoris, Athanasios

AU - Brehmer, Marianne

AU - Martinez, Juan Lopez

AU - Cheng, Jiwen

AU - Cheng, Fan

AU - Gao, Xiaofeng

AU - Gadzhiev, Nariman

AU - Pietropaolo, Amelia

AU - Proietti, Silvia

AU - Ye, Zhangqun

AU - Sarica, Kemal

PY - 2023/2

Y1 - 2023/2

N2 - Objectives: To set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS. Materials and Methods: After a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided. Results: A total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications. Conclusion: The series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.

AB - Objectives: To set out the second in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis that concerns retrograde intrarenal surgery (RIRS), with the aim of providing a clinical framework for urologists performing RIRS. Materials and Methods: After a comprehensive search of RIRS-related literature published between 1 January 1964 and 1 October 2021 from the PubMed database, systematic review and assessment were performed to inform a series of recommendations, which were graded using modified GRADE methodology. Additionally, quality of evidence was classified using a modification of the Oxford Centre for Evidence-Based Medicine Levels of Evidence system. Finally, related comments were provided. Results: A total of 36 recommendations were developed and graded that covered the following topics: indications and contraindications; preoperative imaging; preoperative ureteric stenting; preoperative medications; peri-operative antibiotics; management of antithrombotic therapy; anaesthesia; patient positioning; equipment; lithotripsy; exit strategy; and complications. Conclusion: The series of recommendations regarding RIRS, along with the related commentary and supporting documentation, offered here should help provide safe and effective performance of RIRS.

KW - #EndoUrology

KW - #KidneyStones

KW - #UroStone

KW - RIRS

KW - flexible ureteroscopy

KW - guideline

KW - retrograde intrarenal surgery

KW - treatment

KW - urolithiasis

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M3 - Review article

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SN - 1464-4096

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SP - 153

EP - 164

JO - BJU international

JF - BJU international

IS - 2

ER -

International Alliance of Urolithiasis guideline on retrograde intrarenal surgery

Abstract

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ASJC Scopus subject areas

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